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Injury Spectrum and Radiology Department Response Assessment Following the Beirut Blast

Published online by Cambridge University Press:  06 January 2025

Joya El-Haddad*
Affiliation:
Department of Radiology, Hotel-Dieu de France Hospital, Alfred Naccache Boulevard, Beirut, Lebanon
Ghina Jardali
Affiliation:
Department of Radiology, Hotel-Dieu de France Hospital, Alfred Naccache Boulevard, Beirut, Lebanon
Fadi Farah
Affiliation:
Department of Radiology, Hotel-Dieu de France Hospital, Alfred Naccache Boulevard, Beirut, Lebanon
Nadine Hoyek
Affiliation:
Department of Radiology, Hotel-Dieu de France Hospital, Alfred Naccache Boulevard, Beirut, Lebanon
Antoine Haddad
Affiliation:
Department of Radiology, Hotel-Dieu de France Hospital, Alfred Naccache Boulevard, Beirut, Lebanon
*
Corresponding author: Joya El-Haddad; Email: joya.elhaddad@gmail.com

Abstract

Objectives

The catastrophic Beirut blast on August 4, 2020 at 6:07 pm resulted in extensive damage. Our study aims to categorize the injuries of patients who were transferred to the radiology department in the first 12 hours following the blast and to evaluate the disaster preparedness of the radiology department at Hôtel-Dieu de France Hospital in order to implement corrective action process.

Methods

A total of 97 patients underwent imaging examinations, comprising 77 CT scans and 20 radiographs, which were retrospectively reviewed by 4 senior radiology residents. Patient injuries were classified according to blast injury categories. A full assessment of our disaster plan was done including staff shortage, examination time, patients triage and diagnostic performance of radiologists.

Results

Tertiary injuries were the most prevalent (47.6%). Maxillofacial fractures and intracranial hemorrhage were the most common (54.3%). The radiology department encountered numerous challenges, including communication difficulties, staffing shortages and infrastructure damage. Nevertheless, the disaster management plan enabled the department to effectively navigate these obstacles despite many flaws and many lessons were learned.

Conclusions

This study underscores the importance of an efficient response of the radiology team during mass casualty incidents and can inform future disaster preparedness efforts in health care settings.

Type
Original Research
Copyright
© The Author(s), 2025. Published by Cambridge University Press on behalf of Society for Disaster Medicine and Public Health, Inc

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